PSY FPX 5110 Assessment 2 Multicultural In- Service on Addiction, Biases, & Ethics: A Case Study
Phillip April 15, 2024 No Comments

PSY FPX 5110 Assessment 2 Multicultural In- Service on Addiction, Biases, & Ethics: A Case Study

PSY FPX 5110 Assessment 2 Multicultural In- Service on Addiction, Biases, & Ethics: A Case Study


Capella University

PSY FPX 5110 Ethics and Multicultural Issues in Psychology

Prof. Name


Case Study Overview

Mary Anne is an 18-year-old Hispanic female who suffers from the comorbidity of an opioid use disorder (OUD) and a non-suicidal self-injury disorder (NSSID). She has been voluntarily admitted into a women’s treatment facility that offers equine-assisted counseling (EAC). Despite being deceptive with her treatment team about her current self-harm, during EAC, the horse eventually encouraged Mary Anne to communicate about her hidden way of harming herself honestly. Discussion in cultural identifications and best practices convey learning opportunities for all treating staff.

Cultural Differences

Mickey Kay Troxell

Mary Anne

White Female (Race/Ethnicity/Gender) Hispanic Female (Race/Ethnicity/Gender)
53-year-old (Age, Generational Influences) 18-year-old (Age, Generational Influences)
Addiction/Equine Supervisor (Socioeconomic Status) Client in Treatment (Socioeconomic Status)
Not Medicating (Acquired Disability) Still Medicating (Acquired Disability)

Relevant Biases

1) Struggled with having the patience to allow the process to unfold between the client and the horse.

  • Strategy to improve cultural competency: Attend two different Multicultural Gestalt type technique trainings to help promote understanding of the process of client-centered therapy/counseling better with various cultures.

2) Struggled with the client continuing to medicate and saw her age as a barrier to long-term recovery. Does the client really want to change and have a healthier, happy life? Is her age a hindrance to her recovery?

  • Strategy to improve cultural competency: Read three peer-reviewed research papers on the reasons behind and how to treat non-suicidal self-injury disorders, and an additional three on treating young adults. Also, continue to seek supervision when working with young adults that self-harm for an additional year or more until you feel more comfortable with the special population.

Best Practice for Working With a Hispanic Female

Trust must be earned, and receiving counseling may conflict with her cultural beliefs.

  • Moitinho et al. (2015): When the client did not discuss her self-harming behavior with the treatment team immediately, it was not about avoiding the process of healing. It was about developing trust and understanding the different roles of the counseling staff and the potential outcomes of the interventions.

Best Practice for Working With an 18-year-old

Providing prevention and intervention at an early age can help prevent adverse long-term outcomes. Exemplify respect, and they will eventually see the counselor as authentic and caring.

  • Colizzi et al. (2020): Maintain respectability, flexibility, encouragement, and appropriateness at all times. Competency is demonstrated by creating a healing, engaging, and safe environment.

Best Practice for Working With a Client in Tx

The client is in treatment because they need help; however, they may struggle with letting go of the old way of life.

  • Substance Abuse and Mental Health Services Administration (SAMHSA, 2020): Build an aligned therapeutic relationship between the client and family based on empathy, clear communication, respect, and genuineness. It will take a client 7 to 14 days to acclimate to the new therapeutic environment.

Best Practice for Working With a Client That is Still Medicating

There is more involved in the client cutting than what a counselor may first assume. It is a layered disorder that needs gentle unfolding because it is a way of dealing with the emotional pain and stress of life, which could lead to a sudden suicidal attempt when aspects of control appear lost.

  • Gulbas et al. (2015): Counselors must seek consultation with other professionals about NSSI and read three peer-reviewed studies on NSSI. This will encourage competency with NSSI. It is a way for individuals, especially youth, to manage negative emotions (i.e., pain and stress) that may lead to an abrupt attempt on their lives.

Conclusionary Statement

  • Research your client’s culture and their issues X’s three!
  • Review your own biases and how they could interfere.
  • Hispanics may need more time to trust therapeutic professionals.
  • Do not take things personally.
  • Remember how to demonstrate multicultural competency.


Carter (2016). Reflecting Humanity: Biological, Psychological, and Sociological Perspectives – Capella University (2nd Edition). Kendall Hunt Publishing.

Colizzi, M., Lasalvia, A. & Ruggeri, M. (2020). Prevention and early intervention in youth mental health: is it time for a multidisciplinary and trans-diagnostic model for care?. Int J Ment Health Syst 14, 23.

Gulbas, L. E., Hausmann-Stabile, C., De Luca, S. M., Tyler, T. R., & Zayas, L. H. (2015). An exploratory study of nonsuicidal self-injury and suicidal behaviors in adolescent Latinas. The American journal of orthopsychiatry, 85(4), 302–314.

PSY FPX 5110 Assessment 2 Multicultural In- Service on Addiction, Biases, & Ethics: A Case Study

Humphreys, K., Risner, W., Hicks, J. F., & Moyer, M. (2015). Non-Suicidal Self-Injury: Cutting Through the Pain. Presentation at the Texas Counseling Association Conference, Corpus Christi, TX.;Non-Suicidal

Liu, W. M., Pickett Jr., T., & Ivey, A. E. (2007). White Middle-Class Privilege: Social Class Bias and Implications for Training and Practice. Journal of Multicultural Counseling & Development, 35(4), 194–206.

Moitinho, E., Garzon, F., Freyre, F., & Davila, Z. (2015). Best Practices for Counseling Hispanic/Latino Clients. Presentation at the American Association of Christian Counseling World Conference, Nashville, TN.

Pegasus ECT (2017). EAC packet: Pegasus Model of EAC and EAT and Orientation. [PDF].

PSY FPX 5110 Assessment 2 Multicultural In- Service on Addiction, Biases, & Ethics: A Case Study

Salter, B., & C. Salter (2018). The politics of ageing: Health consumers, markets and hegemonic challenge. Sociology of Health & Illness (40)6, 1069–1086.